ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale measures six elements (sensory perception moisture activity mobility nutrition friction/shear). Elements range 1-4 (
A) age isnβt included (
C) and higher scores indicate lower risk (
D).
Question 2 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Keeping the drainage bag below the bladder prevents urine backflow and infection. Attaching to side rails (
B) risks trauma the bag should be emptied when half full (
C) and taping to the abdomen (
D) may obstruct flow; the thigh is correct for females.
Question 3 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Thirst indicates hyperglycemia due to dehydration from high glucose. Confusion (
A) cold skin (
C) and shakiness (
D) are signs of hypoglycemia.
Question 4 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: Delirium has an abrupt onset within hours or days. It disrupts sleep (
A) causes perceptual disturbances (
B) and is rapid not slow (
C).
Question 5 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A sponge bath with alcohol-water solution promotes heat loss via evaporation. Blankets reduce cooling blanket efficacy (
A) heavy blankets trap heat (
B) and ice packs (
D) cause vasoconstriction hindering cooling.